title: Grading the complexity of endoscopic procedures: results of an ASGE working party.
abstract: BACKGROUND
  Working parties of the American Society for Gastrointestinal Endoscopy (ASGE) Quality Committee recently published a proposed new lexicon for adverse events and a separate extensive review of risk factors. The complexity of procedures also affects outcomes.
  
  
  OBJECTIVE
  To establish a system for grading the complexity of endoscopic procedures.
  
  
  METHODS
  Voting on levels 1 (easiest) to 4 (most difficult) on a list of possible procedures and contexts.
  
  
  METHODS
  Community and academic gastroenterologists in the United States, Canada, and Britain.
  
  
  METHODS
  Median scores of votes cast.
  
  
  RESULTS
  Consensus list of levels 1 through 4 contexts and procedures.
  
  
  CONCLUSIONS
  Eminence rather than evidence based.
  
  
  CONCLUSIONS
  A consensus list was developed for comments and testing to complement the proposed lexicons for adverse events and risk factors.
authors.affiliation: Digestive Disease Center, Medical University of South Carolina, Charleston, South Carolina 29425-2900, USA. cottonp@musc.edu
authors.forename: Peter B
authors.initials: PB
authors.lastname: Cotton
authors.forename: Glenn
authors.initials: G
authors.lastname: Eisen
authors.forename: Joseph
authors.initials: J
authors.lastname: Romagnuolo
authors.forename: John
authors.initials: J
authors.lastname: Vargo
authors.forename: Todd
authors.initials: T
authors.lastname: Baron
authors.forename: Paul
authors.initials: P
authors.lastname: Tarnasky
authors.forename: Steve
authors.initials: S
authors.lastname: Schutz
authors.forename: Brian
authors.initials: B
authors.lastname: Jacobson
authors.forename: Chris
authors.initials: C
authors.lastname: Bott
authors.forename: Bret
authors.initials: B
authors.lastname: Petersen
mesh_terms: D002170:Canada; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects*; D005762:Gastroenterology; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D012955:Societies, Medical; D006113:United Kingdom; D014481:United States